329734 — Graft Bn Cartiform 25x20
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GRAFT BN CARTIFORM 25X20 (CDM 329734) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/329734?code_type=CDM
MLA (9th ed.)
“GRAFT BN CARTIFORM 25X20 (CDM 329734) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/329734?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“GRAFT BN CARTIFORM 25X20 (CDM 329734) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/329734?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $36–$76,091 (25th–75th percentile) across 2 hospitals · 39 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 329734 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| LONE PEAK HOSPITAL Outpatient | ELAP | COMM | $17.37 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Sterling Life Insurance | MCR | $20.50 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Cigna | IFPLP | $20.91 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | PEHP | Exclusive | $22.63 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Bright Health | HIX | $22.96 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Cigna | OAPNBN | $23.62 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | University of Utah | HIXIndividual | $26.08 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Cigna | Exclusive | $27.14 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Molina | HIX | $27.39 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | PEHP | Summit | $29.11 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Aetna | PeakPreference | $29.52 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | University of Utah | HealthyPremierSSG | $30.01 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | University of Utah | HealthyPreferred | $30.01 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | DMBA (Deseret Mutual Benefit Admin) | PPO | $30.92 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | University of Utah | HealthyPremier | $32.72 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Cigna UT Overstock | COMM | $32.80 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Cigna | NBNPPO | $36.08 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Humana ChoiceCare | PPO | $36.68 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Imagine Health Wise | PPO | $38.11 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Aetna | StandardNetwork | $38.54 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | MotivHealth | COMM | $39.36 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | MotivHealth | TPARental | $39.36 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Angle Insurance | COMM | $39.36 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Cigna | Non-ExclusivePPO | $45.59 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Select Health ER | COMM | $47.40 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Aetna | AetnaSignatureAdministrators | $47.56 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Aetna | UtahConnectedNetwork | $49.20 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Multiplan | Primary | $51.66 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Aetna | FirstHealth | $59.86 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Injury Care of Utah | WCOMP | $63.96 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | TriWest Healthcare Alliance | Veterans | $65.60 | $82.00 | $82.00 | 2024-10-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | CHIP | $27,669.60 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | MCD | $27,669.60 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | MyBlueHealth | $29,448.36 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | AmbetterEPO | $33,598.80 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | AmbetterHMO | $33,598.80 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | ValueHMO | $33,598.80 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | BlueAdvantage | $34,587.00 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | United | OptionsPPO | $49,212.36 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | BlueEssentials | $53,955.72 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | BlueEssentialsAccess | $53,955.72 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | EPOSOA | $58,501.44 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | IMO Med - Select Network | WC | $59,292.00 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | PPO | $63,047.16 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | BCBS | Traditional | $63,047.16 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Sendero | ACHP | $63,244.80 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Shared Health | MGMCR | $69,174.00 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Texas Healthcare Foundation HEB | COMM | $73,126.80 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Texas Healthcare Foundation HEB | WC | $73,126.80 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Texas Workforce Commission | WCOMP | $77,079.60 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | United | GlobalBenefitPlan | $88,938.00 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Averde Health | COMM | $88,938.00 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | NaphCare | MGMCR | $88,938.00 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Austin FC | WORKERSCOMP | $98,820.00 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Comanche County | LOCALGOV | $98,820.00 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | HealthSmart Preferred Care | Accel | $108,702.00 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Independent Medical Systems | COMM | $108,702.00 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Physicians Cooperative of Texas | WC | $108,702.00 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Prime Health | WC | $118,584.00 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | National Health Care | COMM | $128,466.00 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Coastal Comp Health Networks | WORKERSCOMP | $128,466.00 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | MedCorp Southwest | COMM | $148,230.00 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | HealthSmart Preferred Care | COMM | $158,112.00 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Beech Street | COMMPPO | $177,876.00 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Medical Control Network Solutions | MedicalControlNetwork | $177,876.00 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Multiplan | COMMPPO | $177,876.00 | $197,640.00 | $197,640.00 | 2026-03-01 | MRF ↗ |